Salgado Carlos A I, Bau Claiton H D, Grevet Eugenio H, Fischer Aline G, Victor Marcelo M, Kalil Katiane L S, Sousa Nyvia O, Garcia Christiane R, Belmonte-de-Abreu Paulo
Adult ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Psychopathology. 2009;42(2):108-12. doi: 10.1159/000203343. Epub 2009 Feb 19.
Previous studies have suggested that individuals with ADHD have high scores in novelty seeking and harm avoidance. However, it is not known whether personality is associated with specific subtypes and dimensions of the disorder. The aim of this study is to test for associations between scores in the temperament and character inventory of C.R. Cloninger with adult ADHD subtypes and severity.
The diagnostic interviews of 296 adult ADHD patients followed the DSM-IV criteria. ADHD dimensions were evaluated with the SNAP-IV scores, and personality dimensions were assessed using the Temperament and Character Inventory.
The combined subtype (n=168) was associated with higher scores in novelty seeking (p<0.001) and lower scores in cooperativeness (p=0.006) than the inattentive subtype (n=128). Higher inattention scores were associated with decreased self-directedness (p<0.001) and increased harm avoidance (p=0.02), whereas higher hyperactivity/impulsivity scores correlated positively with novelty seeking (p<0.001) and persistence (p=0.03).
These findings suggest that personality dimensions are strongly correlated with ADHD subtypes and severity dimensions, pointing to the need for studies evaluating the mechanisms behind this association.
先前的研究表明,患有注意力缺陷多动障碍(ADHD)的个体在寻求新奇和避免伤害方面得分较高。然而,尚不清楚人格是否与该疾病的特定亚型和维度相关。本研究的目的是检验C.R. 克隆宁格气质与性格量表得分与成人ADHD亚型及严重程度之间的关联。
296名成年ADHD患者的诊断性访谈遵循《精神疾病诊断与统计手册》第四版(DSM-IV)标准。使用SNAP-IV得分评估ADHD维度,并用气质与性格量表评估人格维度。
与注意力不集中亚型(n = 128)相比,混合型亚型(n = 168)在寻求新奇方面得分更高(p < 0.001),在合作性方面得分更低(p = 0.006)。更高的注意力不集中得分与自我导向性降低(p < 0.001)和避免伤害增加(p = 0.02)相关,而更高的多动/冲动得分与寻求新奇(p < 0.001)和坚持性(p = 0.03)呈正相关。
这些发现表明,人格维度与ADHD亚型及严重程度维度密切相关,这表明有必要开展研究评估这种关联背后的机制。